Lissette M Bouret, MD
Family Medicine in Malden, Massachusetts
1649373580- Practice location
- 219 Centre St, Malden, MA 02148-5524
- Phone
- 781-322-7300
- Fax
- —
- Last updated
- August 23, 2016
Lissette Marie Bouret is a Family Medicine based in Malden, MA. Lissette Marie Bouret practices in Malden, MA and has the professional credentials of MD. The NPI Number for Lissette Marie Bouret is 1649373580 and holds a License No. 14725 (PR). The current practice location address for Lissette Marie Bouret is 219 Centre St, Malden, MA 02148-5524 and can be reached out via phone at 781-322-7300.
Provider Profile Details
- NPI Number
- 1649373580
- Provider Name
- Lissette Marie Bouret
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 219 Centre St, Malden, MA 02148-5524
- Phone Number
- 781-322-7300
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 6, 2006
- Last Update Date
- August 23, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 219 Centre St
Malden, MA 02148-5524 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-5524
- Phone Number
- 781-322-7300
Provider Business Mailing Address Details
- Address
- 219 Centre St
Malden, MA 02148-5524 - City
- Malden
- State
- MA
- Zip
- 02148-5524
- Phone Number
- 781-322-7300
License Information
- License Number (1)
- 14725
- License State (1)
- PR
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 265252
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lissette M Bouret, MD?
The NPI number of Lissette M Bouret, MD is 1649373580. It was assigned on September 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Lissette M Bouret, MD?
Lissette M Bouret, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PR under license number 14725.
Where does Lissette M Bouret, MD practice?
The practice location is 219 Centre St, Malden, MA 02148-5524. The office can be reached at 781-322-7300 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649373580 directly on the NPPES registry website.